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National Coverage Determinations

The Centers for Medicare and Medicaid Services (CMS) makes changes to the services that are covered by Medicare. These changes are updated via National Coverage Determinations (NCDs), nationwide determinations of whether Medicare will pay for an item or service.

The CMS has recently issued the following NCDs:

Implantable Automatic Defibrillators
Effective Date: 2/15/2018
Implementation Date: 2/26/2019

Next Generation Sequencing
Effective Date: 3/16/2018
Implementation Date: 3/8/2019

Magnetic Resonance Imaging (220.2)
Effective Date: 4/10/2018
Implementation Date: 12/10/2018

Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (20.35)
Effective Date: 5/25/2017
Implementation Date: 7/2/2018

Hyperbaric Oxygen Therapy (20.29)
Effective Date: 4/03/2017
Implementation Date: 12/18/2017

Smoking and Tobacco-Use Cessation Counseling - RETIRED (210.4)
Effective Date: 9/30/2015
Implementation Date: 9/26/2017

Counseling to Prevent Tobacco Use (210.4.1)
Effective Date: 9/26/2017
Implementation Date: 9/26/2017

Leadless Pacemakers (20.8.4)
Effective Date: 1/18/2017
Implementation Date: 8/29/2017

Percutaneous Image-Guided Lumbar Decompression for Lumbar Spinal Stenosis (150.13)
Effective Date: 12/7/2016
Implementation Date: 6/27/2017

Screening for Hepatitis B Virus (HBV) Infection (210.6)
Effective Date: 9/28/2016
Implementation Date: 1/2/2018

Gender Dysphoria and Gender Reassignment Surgery (140.9)
Effective Date: 8/30/2016
Implementation Date: 4/4/2017

Percutaneous Left Atrial Appendage Closure (LAAC) (20.34)
Effective Date: 2/8/2016
Implementation Date: 10/3/2016

Stem Cell Transplantation Formerly 110.8.1 (110.23)
Effective Date: 1/27/2016
Implementation Date: 10/3/2016

Screening for Cervical Cancer with Human Papillomavirus (HPV) (210.2.1)
Effective Date: 7/9/2015
Implementation Date: 3/7/2016

Screening for the Human Immunodeficiency Virus (HIV) Infection (210.7)
Effective Date: 4/13/2015
Implementation Date: 3/7/2016

To view all NCDs, please visit the following CMS websites:

fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.mimeridian.com,findaprovider.mmp.mimeridian.com, provider.mmp.mimeridian.com,